30 April 2020: A sniff test for consciousness, and how to cut antibiotics use — with vaccines
Nature Podcast
podcast@nature.com
4.5 • 893 Ratings
🗓️ 29 April 2020
⏱️ 23 minutes
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Summary
This week, how the ‘sniff-response’ can help clinicians determine a patient's state of consciousness, and how vaccines could help drive down antibiotic use.
In this episode:
00:45 Sniffing out consciousness
Researchers have found that the sniff reflex can indicate whether a patient is in a vegetative state, and even the likelihood that they will recover consciousness. Research Article: Arzi et al.
08:37 Research Highlights
The stupefying effect of carbon dioxide, and a chameleon gemstone that tricks your eyes. Research Highlight: Rising carbon dioxide levels will make us stupider; Research Highlight: How a chameleon gemstone changes from red to green
11:12 Vaccination and antibiotic usage
Looking at data from low- and middle-income countries, researchers have determined that vaccination could prevent millions of infections currently treated by antibiotics. Research Article: Lewnard et al.
16:49 Pick of the Briefing
We pick our highlights from the Nature Briefing, including the forgotten mother of climate change science, and a new global study on insect declines. Chemistry World: Eunice Foote: the mother of climate change; Science: Meta-analysis reveals declines in terrestrial but increases in freshwater insect abundances
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Transcript
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| 0:00.0 | nature an experiment i really know yet why is like so far like it sounds so simple they had no idea |
| 0:10.7 | but now the data's i find this not only refreshing but but at some level astounding nature |
| 0:20.4 | welcome back to the Nature. |
| 0:25.6 | Welcome back to the nature podcast. |
| 0:29.2 | This week, what a sniff reveals about consciousness and the relationship between vaccines and antibiotic use. |
| 0:33.5 | I'm Charmany Bandelle. |
| 0:34.7 | And I'm Nick Howe. |
| 0:45.8 | Yeah. I'm Charmany Bandelle. And I'm Nick Howe. Imagine you're walking in a park. |
| 0:49.1 | It's a beautiful sunny day with flowers everywhere. |
| 0:52.4 | And what a lovely smell. |
| 0:57.4 | Now, I'm not just trying to keep you sane during lockdown. Humans often inhale through |
| 1:03.1 | their nose when they smell something nice. It's an automatic response. Now researchers think |
| 1:08.9 | that this sniff reflex could help doctors assess an immobile patient's level |
| 1:13.5 | of consciousness. That's according to a new study in this week's nature. I called up one of the |
| 1:18.7 | authors, Anath Arzi, to find out more, and she started by telling me about different levels |
| 1:23.9 | of consciousness. In particular, the difference between a vegetative and a minimally |
| 1:29.0 | conscious state. |
| 1:30.3 | A person that is diagnosed in vegetative state is someone that has a sleep-wake cycle |
| 1:38.3 | and the eyes are spontaneously open. However, we have no evidence for any signs of conscious awareness for the self |
| 1:48.2 | or to the environment. So we have no ability to communicate with this person and this person |
| 1:54.0 | has no ability to communicate. For minimally conscious patients, they have a severe altered consciousness. However, there are |
| 2:03.8 | subtle signs of consciousness. We have evidence that this person has some awareness of the |
... |
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